Test 2014-08-05-3-5 (CTM 227-June 2012) Summary

Project Information
Project IdentifiersProject ID: 208798
DEA: 080R1904
EFIS: 0812000031
DIST-CO-RTE-PM08-RIV-74-23.1
Work DescriptionINSTALL LIGHTING AND TRAFFIC SIGNALS.
Location DescriptionRIVERSIDE COUNTY NEAR PERRIS AT THEDA STREET
Sample Information
Sample Taken Date8/5/2014 Sample Unique Key3
Will the laboratory/organization for which you are a member perform testing on this material sample?Yes Date that the sample was received by the laboratory/organization performing the testing8/5/2014
Sample typeAnnual Source Testing A brief description of the sample1 Inch Rock
The quantity of what the sample constitutes8 Bags From where was the sample collectedSource
First name of sampler or witnessed byTom Last name of sampler or witnessed byMilum
Title of samplerQC Technician Laboratory sample identification4209B
The fabricator/manufacturer/facility nameRobertsons Banning Quarry Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifierNot set
Structure nameNot set
Material Information
Material TypeAggregate Source Identification (SMARA or name of Pit)SMARA 91-33-0012
The fabricator's/manufacturer's product name for the sample The fabricator/manufacturer designation for the sample
The plant number A detailed description of where the material sample was collectedStockpiles
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size1 inch
The concrete mix design number Lot numberNot set
Sublot numberNot set HMA Design ID
Test Details
DIME Sample ID: 2014-08-05-3
DIME Test ID: 2014-08-05-3-5
Testing Lab: CT - Southern Regional Laboratory
Test Method: CTM 227-June 2012: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)
Test Release Date: 2015-02-20
Test Results

Describe the gradation of the aggregate:: Mix of sizes - max 1.5 in.
Input Type: Calculated
Tester's full name: Nader Rashidi
Date of test: 02/20/2015
Cleanness value (11/2 in. maximum aggregate mix):97
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 02/20/2015